Samenvatting
Het gebruik van postnatale corticosteroïden voor de preventie of behandeling van chronische longziekte bij pasgeborenen blijft een punt van discussie. Dexamethason kent vele negatieve bijwerkingen. Hydrocortison zou een alternatief kunnen zijn indien het even effectief is en minder nadelige effecten op de lange termijn veroorzaakt. Dit artikel geeft een overzicht van de tot nu toe gepubliceerde studies betreffende de behandeling met hydrocortison in de neonatale periode in relatie tot de langetermijnuitkomsten op de neuromotorische ontwikkeling.
Summary
The use of postnatal corticosteroids to prevent or treat chronic lung disease in newborns remains a controversial issue. Dexamethasone has many negative side effects. Hydrocortisone could be a suitable alternative if equally effective and causing fewer negative sequelae on neuromotor development. This paper describes the published studies on hydrocortisone treatment in the neonatal period in relation with long-term neurodevelopmental outcome.
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Mw. dr. K.J. Rademaker, dhr. dr. F. Groenendaal, mw. prof. dr. L.S. de Vries, dhr. prof. dr. F. van Bel, afdeling Neonatologie, Wilhelmina Kinderziekenhuis, UMC Utrecht.
Correspondentieadres: Mw. K.J. Rademaker, afdeling Neonatologie. KE 04.123.1, Wilhelmina Kinderziekenhuis UMC Utrecht, Postbus 85090, 3508 AB Utrecht
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Rademaker, K.J., Groenendaal, F., de Vries, L.S. et al. Langetermijnuitkomsten na hydrocortisonbehandeling voor chronische longziekte bij prematuur geboren kinderen. KIND 76, 242–249 (2008). https://doi.org/10.1007/BF03078212
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DOI: https://doi.org/10.1007/BF03078212